Single Point of Entry Long-Term Living Resource System Team Report

Pursuant to House File 451 the Single Point of Entry Long-Term Living Resources System Team, involving several state agencies as well as interested associations, submitted a report to the legislature on recommendations to establish a single point of entry system

Iowa Department of Commerce, Iowa Insurance Division Performance Report, FY 2007

Agency Performance Repor

Strengthening Primary and Chronic Care: State Innovations to Transform and Link Small Practices

Presents case studies of state policies for reorganizing and improving primary and chronic care delivery among small practices, including leadership and convening, payment incentives, infrastructure support, feedback and monitoring, and certification

Addressing Resource Gaps in the U.S. Health Care Safety Net: An Assessment of the Free Clinic Network

Based on a survey of free clinics serving uninsured low-income patients, examines the resource constraints limiting the expansion of healthcare services provided, including the high costs of labs, equipment, and medication. Makes recommendations

The State of Preschool 2007

Provides data on state-funded pre-K programs for the 2006-2007 school year, such as percentages of children enrolled at different ages, spending per child, and the number of quality standard benchmarks met. Includes state rankings and profiles

Improving the Lives of Young Children: Opportunities for Care Coordination and Case Management for Children Receiving Services for Developmental Delay

Summarizes new opportunities for states to develop a coordinated system of care for children receiving early childhood intervention and services and how providers can support effective care coordination and case management policies

Impact of Family-Inclusive Case Management on Reentry Outcomes: Interim Report on the Safer Return Demonstration Evaluation

Outlines preliminary findings on the impact of a family-inclusive reentry model designed to improve former prisoners' employment, substance abuse, and recidivism outcomes by utilizing the resources and strengths of their families and support networks

Incremental Cost Estimates for the Patient-Centered Medical Home

Based on data from thirty-five primary care practices, analyzes the costs associated with the medical home model, in which primary care practices also provide care coordination, patient education, and related services. Considers implications

Shaping a Healthier Generation: Successful State Strategies to Prevent Childhood Obesity

Provides an overview of the socioeconomic and environmental risk factors and costs of childhood obesity. Presents examples of state policies to prevent the epidemic by promoting healthy behaviors in child care, school, community, and healthcare settings

A Quality Improvement Program in a Safety Net Clinic Serving Vulnerable Populations

The Patient Protection and Affordable Care Act of 2010 resulted in major changes to healthcare infrastructure in the United States, with two main areas of concentration: healthcare financing and population health management. Quality improvement programs focus on improving healthcare quality for populations with conscious efforts to decrease healthcareassociated expenditures. Quality improvement interventions can include patient-reported outcomes, clinical decision support systems, and clinical dashboards. The purpose of the Doctor of Nursing Practice project was to formally implement a quality improvement program for chronic disease management in a safety net clinic serving vulnerable populations. The Donabedian model served as the conceptual model to frame the formal quality improvement program. The Plan-Do-Study-Act model guided the implementation of the formal quality improvement program. Despite the lack of statistically significant differences between pre- and post-implementation outcome measures, the Doctor of Nursing Practice project established a standard documentation process for several chronic diseases supported by a procedure manual, volunteer education modules, and clinical dashboards. Limitations of the project included the brief evaluation period, the low daily volume of patients with the selected chronic diseases, and the inadequate volunteer survey response rate. Recommendations for sustainability and future iterations involve an investigation into the documentation process of underperforming outcome measures, the identification of an effective process to solicit volunteer feedback on training modules, and the continuation of the clinical dashboard process to generate monthly compliance data to monitor documentation variation over time. The formalization of the quality improvement program in the safety net clinic during this Plan-Do-Study-Act cycle provided a strong foundation from which to launch the next Plan-Do-Study-Act cycle focusing on improved volunteer involvement